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HomeMy WebLinkAbout3385DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.08 -1 -29 BOX 27 03385 jr r :mil - ilA . . 03385 1 PUTNAM COUNTY HEALTH DEPARMVEW .DIVISION OF ENVIRONMENTAL.HEAIa- H. _�FE 225= 181'9/21 - x$33/225 -3641 PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OWNER'S NAME ' �i l i �`A��� t� C vi CAL _ SITE LOCATION MAILING ADDRESS PERSON INTERVIEWED DATE / �� I WHO Camplaint # — & Relationship (i.e, owner,tenant, etc.) LL TYPE FACILITY 0 L PHONES . Proposal (include sketch locating all adjacent wdlls): NOTE: Repair must be in same location and of same.type as original sewage.disposal•system. Different location may require submittal of proposal fran licensed professional engineer or registered architect. Environmental Health•Services Proposal annroved Prnmseauagamorcued 1 Carmel. BY . 105.12 tin J Inspector's Signatufe & Title bate- Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. Systen.description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells'surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions., as owner, or reported agent of owner agree to the above conditions. -.GNAUM TITLE «1A)"N�+�.� DATE q f>to SJ� Wi to (PQHD); Yellow (Tam HI); Pink (A#iaw±) SITE LOCATION MAILING ADDRESS 20 PERSON INTERVIEWED PCHD Complaint # Name p && Relationship ( i . e, owner, tenant, etc.) DATE /a�`�O p �p TYPE FACILITY � n Proposal (include sketch locating all adjacent we11s)s. NOTE: Repair must be. in same location and of same type as original sewage disposal system. Different location may require suhnittal of proposal fran licensed professional engineer or registered architect. I - Inspector ruatYAA9 CUUtVdX. , d ,�. F/ Environmenial IHealth Services Prs83u� . Carmel, 10'. :g�5�2 e. Proposal approved with the following conditions 1. Procurement of any Town permit, if applicable. 2. Submission of.as built repair sketch in duplicate showings a. Owner's name. b, Site Street.Name, Town and Tax Map number. c. Location of installed canponents tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diamo x 6' deep drywelis surrounded by one foot '+ gravel); e. Installer's name and number. 3. System repair to be performed in accordance with :.the above proposal.and conditions; I, as owner, or reported agent of owner agree to. the'above` conditions. SIGNATURE ti 0XIESS Wute (PCl&D); Yellaa (Zb�xl ffi)$ Plnk (Ppplxant) 1 r PETER C. ALEXANDERSON County Executive L:'l.. ..sa.•. W.. " • � r.a♦ J�.�. ��LfTTw��.r�a�a �'vr`- .' _ . _ f ., a. r ENID L. CARRUTH, M.P.H. Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 October 31, 1989 Diane L Michael Spinelli 10 Kenneth Drive Putnam Valley, New York 10579 Re: Proposed addition A- 196 -89 Spinelli, 10 Kenneth Drive Lot 17 - (T) Putnam Valley Dear Mr. & Mrs. Spinelli: JOHN KARELL Jr., P.E. Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a 14' x 21' family room will be added to the south of the existing residence. No other changes are proposed. The survey indicates that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the information submitted, the above mentioned addition is approved with the following conditions: 1. The total number of bedrooms must^ remain at three _ withou£ - pr3o`r gprnva'1 by' this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be replaced or updated with water saving devices,' i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /jp cc: BI (T) Putnam Valley k_ . OWNER'S NAME -N W% t % SITE LOCATION MAILING ADDRESS PERSON INTERVIEWED DATE PROPOSED INSTALLER r r PUTNAM COUNTY HEALTH DEPARTMENT ..;;TVIT -K024 OF M, �'4'LT?'.�r 'i zl. `? i_SFSR�TI;�ESr„ 225- 3838/225- 3833/225 -3641 PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR ' lvi CRA t PHONE y'. LU Name &_Relationship (i.e, owner, PCHD Complaint ant, etc.) TYPE FACILITY PHONE Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. Proposal rVproved1 Inspector's SIgnat e & Title Environmental Health Services Prmposaaaifsagwvyled Carmel, My 10512 to Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number, c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel), e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported agent of owner agree to the above conditions. 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ROOM 233 TELEPHONE MO 8 -0880 TELEPHONE 294.7929 et County Clerk's Office Division of Land Records 7'u Ly 30 13771 as Map ting buildings and lines of possession and have shown their positions hereon. survey to / 'i,._r; : �„ , .._ / .. :_. 3Y:, :Y .:.t • .us ;a /fo:.x i;�. on scale of one inch to 5-0 feet. `�;i ;,346170 61748 !0 /2o17a O t '976 N. o- 37 -�¢0 �iv. • - . ; C ini' 1 1 1.V A9.97 �. \yo. 'S� S 0 00 . 0 \ �, x.16 • � Q �/i9 99 , R-12 6 c o .Z Q �Cl i D ° r 176.14 Rs ~e �. -'i s�:-?,�a _� A :E,q 'r. .i:::�K U "�er3 y^'.•rp .+a x'' ^.y5,x W ���°4,. �ypa x�"�d ±r..� ::dam .' r+:' +., �, „c } xCd§ f ,�, `h" Y R2'.V,* r i f��.:.G.^'. i 45•-':iC`° << •'�,�" �'- "�f''. >,M.?� 'P �' ,�"r y Ong" „F .,Y ' k� PUTNAM COUNTY `DEPARTMENT >OF HEALTH q, Y �• •'`�`��: �, ...���, :; � _x�� -{ �`�D,r�vis�on, of Environmental�.yHealth Services .Carmel N �Y U.10512� � � �S. � 'F�z� -•, �� `'���� S 4Y�h3�” ��,'s'` -47 z 7� n } ��3'.F •,` ` ,{'tic �*L,,��'1..e'��3i�,` r %�a .u;� `� ��"y°.'.� �h�e'`� .r��,`�'<�,� � 5. '� >�S '^ Y+ a , '. ,, G�1IFJC�T QWF ri )Rl3TE?li.��"<���!CE >r�'CIS€+€ • ;51 ��h s_ ; t l�`i s :� y- 7 2 n Town or V111age I" }�"s''d�e,?,�',�da!`� � �- $a o „'�i ,i :j� tom• � .k .yf ✓ _/ 'Y �' h a t'�,�L•.:c<�' d l �. T r' � �� �,.A,,.ryc,'nk� � 4 s`�•o +.lcyv r,,. o: �D ,� #�'Tyy.... �v. "666L+..," {, °T :i .S�{ "e�' 'R'Uu+'�'' 4 `w, 's' Yra \u e �k'C y y •'y5, c P ?'"c ".'.3 r <`.�. I•� /[ sy+ g r' y Sect!on Block rs,4�,� •)�:f 4yr �' �'�"5 ��:.�•��'� ° 4 > 574 "'�7 g..= x ,Owner, Job iP^. r �•� %: �y..'- 5 d��.s,{�{ y ,r .0 3„ yx xP ._,,� %.x" <r� M '3i }caa Si'r w i+: E 34f.Ji a, 1 '+. �.:k •5 �ti. c. fit, •f'a. ,i ` ©S�. t s� a 3, " a, '- = "�` eparate ,Sewerage System bwlt zby r �t -� 'N Address k � , -S � N `l ' '., a Conslsting of Gal ` Septic,+Tank iiineaVrFeet jX 'drench ,. �+ }.. c r c {`F ti "ae.` ' r: `u... e ',�'a 1. 'S -... F,z';.',''sY +txarS,C- :.'r a r tYa;,,.�".. -i-y ,,, nka*``^ aT ^y?^ :•F',c,`r`ta' t-, y FS rk t a d s �a ✓ �$w1 T fi ;� 5 CF °r� 5 <ti.F fOther requirements - �, ix �' # ri a t Water Supply Pub11c SuP PIY ,F,rom� Y �, c�"4...' r C tire'_ ✓• �n�,. fv,,c.." c 'ae'�',a ,,,�. a f 3..^s�k.. -<1` i'",^ n` %�f 'A NA a4 t &y y a +s - d� .,c -3. �•. �1e.. �� ?�ea�',tf \ �# PrtlVateSUPPIy Dr111edBY' ' ' t �3 x � ,,� ?� v �s { • � s ��' ,,, �., Pa � .� 3 i4 � � C' '� e r; i/ 'T t�" �v'� `' .,t •� y ,�- 4 �rmOMQ .�+r'i r ter+ `'"-'` r n ":� ;sN f �. �. a 3 n -BU din T ess 3r ' nr =�` s NoOfBedr Oms ap�33 "= DaYe "Permit Issued 1�2 Ate �-�{ . o 7g •y'r'-,�r 9 •,n...&�F'F v. 'e+ r R. , t x "' - �w, s,.,4< sn s ?•w 9rt...,.�•, y. s '. f d t t1 ' , f ✓ y. S.i "' - +tom f .:i'r3, :,.,�,,,f t S ` � ' ` Has Erosion Control Been Completed t 'rt� ' .L ;, "F` Y .:. y t .v ;k'`3?� f t -``•; a #t±":!Y 6 .er�'"S 7.�s �. - <+''fi di '.: r i H ."'-"° xf: • ks,- r .h ..:.+ r_>r . R, `t?i- .'.vy` ^?F+ . , 9. A" Y %.k . c `%� ti,.: rtie m.:. �$ya. r''': •� ,m ....; s ; ,. : :.,:s -'- �c zytlfy :thatthefsystem(s) as llsted'servmg the abop[emises +were `construcessentl ally as shown -on the�'plaris ofthe.•completed work'(coples of which are 5 „�attachedj; and m'?accorda'nce "with; the standards,;r tales +anduregu1afions 1plan3af11ed, and the;permlt•i`ssued by,'the utnam •County•Qepartment of Health. �+{ .� a ''' e �.' a +s '.*3 ," S ' of ••�'” DatByi'.:€ �tzs f� 8d1`r`�bY ".F'"' 'xi' ,,,,•weer 3Y�. a"*''�. a,.f F • -.�t" �S ,� .;�P E ' " R A s `Y r zYAddress —f '��� -�e� �4LH�e'C ARMeI' 1�: License }� ,�s+�� : +.- hid• , F' '- i.<•r' y e . air +`id�ar3 �,..,_,• �_ �•., „,Anyyperson toccupyingapreml5es'served by the above systems) +shallpromptly, take such achonsas may be necessary to- secure the,correct�on =,of ah y . s ” ,s „ ° ;coh'd1t:lons ,resulting from such 'usage iipprovalof theseparatesewerage ystemrshatt become nulGand void asso asf3a;pubhc sanitary sewer'becgmer I v ;available; andthe °approval of the.:pnvate water supply shall become null antlw' vrtien a public water supply es available Such approvals;,are = s dubjectr.to modif,lcatlon':or tcfiange when;{ 1n thejudgment' of the Com ' f, ealth, such revocatlorr tlon Q change: is 'necessary ,," a i y r r r nS � P n c•TV� h'F, ; "t+ - •�: C " v }, >" e'"`M1x.'�, �Y „-; . , +r ".c' �' •sue >< �'.ai;,, "s' sue` 43j°'a a,�er�r .4 e. ,s,3�1'.. v ari ,t. *"f''u^Tr ':..?.?' a ,Y.i:S" { u A•': `” 14 C 0�`� I I�ij -` IAwL f yp 4 AA- F3 F LINTY OF WESTCHESTER MEPARTME NT OF'LABORATORIES AND °_RESEARCH T�ER,I hl ATipN' OF TREATED AND UNTREATED WATERS i - lab fJo ENT . - Bottle No A c[)atepColl` a Date Recd - Coll'd: by Agency Coll'd for` - =77 � - 'COIN ftom, f`€ame (City, Town, ' 4 -01' ) <':.. Z Code) en Idtification bf Source � `Sampling , (County) , 6 T =ty Pont �s` S�i°Y _ Suppry Chlorirtd4ed 06n sampled °! T Yes _ No Tests ,Requested 4` Free Comb p'H RE UETS OF'FXAMINATIQN:`'0F `WATER Standard Plater Count : z - These resu €ts mdicsite tha?th sompie e �. !. of satisfactory san€tar quaitty when then sample. ivas coht:ctedy ' Etaderic per, nl. . M / 1fl6 . ml , {` - NENRY STEW, M.D., Director RDS €MkR1E Df °l4ll0 ; �I S thief._ of laboratortes r , ry 14 C 0�`� I I�ij -` IAwL �il'd by �vtf F - �.II'd from Name � - ion of�Source �`"Gtir�:- g�F, i tL} > =mitts tr 97 Off, ORATORIES AN RESEARCH y� DRINKING ,AND TREATED WATERS` b 9 • ; 'Agency Coll�d for L U -V,4 Lf Vr)lage) " (Lp G` e) (County) F k �f)tfi Tj imps ng P,pin } pply Chlorinated why n sampled 3.. 7yLM 'Al l�iform Group S. /.? !i r . = �' ' t _ �� . AAe MIM fn then HI F� .. R( �s r - `� iinill ° x At � 4j! 4` s1 Fui r Q � � s F �• � t IE DI LdLLO, M.S� Chief of,labora�o ies h` a � ,C 7�777 7-7-7777 OUNTY OF WESTCH ESTER. DEPARTMENT OF LABORATORIES AND RESEARCH' �E(NTERJ% im INATION OF TREATED AND UNTREATED WATERS c'x' i:, ..'.s`.a: °�-:e' n .»•,. ^r"',T•,':,:,'Pt:.�.+�+ci' vr- ....:.a "` iiwi '7, sue.... :ti- s c. z6.: °�n•�•_ Lab. No. ENT. r" "'� `"iL -Bottle No t � Date.'Coll'cM � f0" Dofe Rec' /I Coll'd by Agency Coll'd for Coll'd from; Name ,-� /• ( 31) YIN/ •� Address (St., Rd.) (City, Town, VilGge) , (Zi Code) . (County) Identification of Source�r �1v_C,,,4,� Sampling Point .. . 0c.1�S,t~_� Supply. Chlorinated when sampled Yes 0 No rests Requested Free Comb, ( IESULTS OF EXAMINATION OF WATER Standard Plate Count These results indicate that the sample of.sotisfoctory sonitary:quolity 3acterio per ML when the sample was collected:. r. 'I J em 100 MI. , HENRY:SIEGEI; M.D.; Director ROSEMARIE 01 lALLO, M.S:,. (hief of laboratories -'. i E•II Rev. 74 COUNTY 0P WESTCHESTER DEPARTMENT OF LABORATORIES AND RESEARCH BACTERIAL•EXAMINATtON OF DRINKING AN Q,.TrZEAT Eii Lob. No.-W- 01.88 3 Bottle No. .2 3 " Date Coll'd S 76 Date Recd 15 31,;,Y tl I Coli'd by gency Coll'd for Coll'd from; Name 7 7�1 t e L" P 1 Imo_ e t - j (lost) �. ,(first). /( _ Address N _ r. (St„ Rd,) (City, To , Villoge) (Zip Code) (County) Identification of Source Vr r/ . Sampling Point�L( Supply Chlorinated when .sampled Yes '❑ No Free Comb. pH RESULTS OF EXAMINATION OF WATER Standard Plate Count • Membrane' Method Bacteria* per mi. '36 Total Coliform/ 100 ml. i Coliform Group MPN/ 100 ml. These results indicate sample of satisfactory sanitary quality when the HENRY SIEGEL., M.D., Director sample was collected. ROSEMARIE DI LALLO, M.S., Chief of lobo(dtories •..._ .. ... .. ...... ..._...._.__.. ... -T77 ' 77 -54: Rev 74 COUQITY OF HESTEWDEPARTMENT BACTERIA• EXAMINATION -ebF- DR13N w lab: No S` W-- Mite UN-- Date. gpnc,, -�4 (St (City, Tor, C0410) -,"(Coionty) No -4 Supply RE '-LT§.'QffEX INATIOk' WATER.- Standard 'Plate rd , Bacteria per m� Utdl C"6'146'r.rn/-1od 'nil . 4-1 UP M &AD... PN/100 -,m &A �yv These results indicate sample{ f of satisfactory sanitary , u I when the l sample was.coilected ROSEMARIE DI LALLO '&.,-: Chief *;Laborofo nr z-- ---- L �QI1 r "•7y sTlf �Cf ✓t T�; f( t ST RD }, 4 .y •,, i' t ITOWN VILLAGE CITY `�,y ,t f��>f /i� t ��� Identdflcatron of Sourcez`N ,� x,(CHECK BOX FOR TESTS RECLIESTED) r :` t S .t,` air S C 1 " x... } 'ry •r KAMINATION +(Results in Mllltgraris Per Ltter)' 1` Fret3ilas N) r El-, Arsenic c xBanum i1 ❑ •: Chrornlum .-)l J on V4 s 4�. Y w ❑<. ;Mangan @Se s_a 0. 'v 1t a R° 1 �r> � � ❑'�"MefBUry s r, t s .�? Total O (a'sCaC _ tq s< wia, 1° i k` d t s BWit le IVo ?� r i F�c s � ��.i.t. y` ��"y •Frj` �' °• �a � °j t t ��' rl � }� °� 1 }�'°,'S'l t��adFM13t'✓�- "•��r�,1 t.; ^,yM1i t ri \ �. 0 +I.. .. {Cx: ts»wtv)' 7e .+;�.eu'.Xk t t:4..e x-r 1„^"`7r w,as ! .t �.r.r„ q't v..°,.:• k AS 1DetergeritshC�.1� ' l ! dr r > d inidt3 a � � nOIS�t y'xl J ak, Dissolved Solids ° rr 3 W + .._7777;7 t } s r) t F,�yti tai ,;,,�Ti �,�rs'rIM1rM�S�Ryyo}N�t�r � a+ rt• EXAMfNATION�< { +44 n �t 77-t M1 A4 �s iF a u ��'f^r� ✓, e �r id tf t,,k +`f� ai �y a xf­3t ' ty � 4;' °r t• C t 7' ESE zm OUNTY }OF WESTCHESTER DEPARTMENT,3,OF LA AND RESEAR. � " ,+ ` BACT}�ERIAL`�EXAMIN'ATIO�N`"OF L°R11,NKING QTR TED WATERS .�..._ -.... _.. .. ._�..p.• .•» Qa�e- NI Gali�rt I Ml i . ..... ,.... . j Coll'd %bi, " Agency Coll`d fort Coll'd from, Name Address - (St Rd )� e ' (Gty Tow Vllloge) (Zlp'Code) (County) Identtftcatlon,of Source_,_ Sdmplmg Point 1 1 j Supply Chlorinated when sampled t <Yes ❑ No Y H 4 x Free ° Comb. p ,• RESUttsS O.F E AMINATION 0F ATER .ta it.L �a'.Y Standard Plate Count a,. Membrane.Method rd ' Bacteria per ml Totdl Coltform /100 ml t Cohform Group , t. ° ;g These tresuits indicate sample4 T' `&4, atisfactory santtary.`quallty When ';the - HENRY, dIEGEI, M 0 Director i sgmple' was col ►ected.. ROSEMARIE:DI LAllO, M.S., Chief of laboratories r E•11 Rev. 74 I COUNTY OF WESTCHESTER DEPARTMENT OF LABORATORIES AND RESEARCH BACTERIAL EXAMINATION OF DRINKI 0. ING AND TREATED WATERS N �,prn ^•'OH KY .�,I+r-.., ,[+,'7C9} @9 ` .= $'fi'.�v va�.�..1 - �+�r�WrM.d3Ti"r•C��e -.��: Y'� S�t.IZ- i't.+mYS �:yv.�L•T i; -:,.L. Yw^Oe�.. -s '�G" doftle Date Coll d o ec Coll'd b -�— Y gency Coll'd for Coll'd from; i Name (Lost) (irytj Address a% e--fl (Sr., Rd.) (Cft , To r 4,414201va L-1 V. ose ^^ (lip Code) (County) i Identification of Source Sampling Point Supply Chlorinated when sampled Yes No Free Comb. pH • RESULTS OF EXAMINATION OF WATER i Standard Plate Coun4 Membrone.Method a Bacteria* per mi. '/ 6 Total Coliform /100 ml. Coliform Group n MPN /100 ml. These results indicate Sample ., of satisfactory sanitary quality, when the HENRY SIEGEI, M.D., Director sample was collected. ROSEMARIE DI LAllO, M. S., Chief of Laboratories, E-11 Rev. 74 RTMEfiItl?,F LABORATOR C0.1P111 IES AND RESEARCH. E3A TE'RIAi_CEXAM N 9� ' DRINKING AND- TREATED REATE[) 'dJATERS Lob. No. W- Bottle No. Date Coll'd v ' %?��76 Dote Rec'd SFT Coll'd by Agency Coll'cl for lU i Lt ' Coll'd from; Name Address T��;1r.�r�. ..'t-t.^ -i U:1 c.iJG (St;; Rd.) (Ciy1Town, Villoo'e) (zip C Ae) (County) E ; lieh #lfitatibn sf Source__..._ Sampling Ppin4 Supply Chlorinated when sampled Yes ❑ No t Free Comb. pH RESULTS OF EXAMINATION OF WATER �s'r• ' .! ;•. ^. Standard Plate Count Membrane Method Bacteria per mi.-t-6 Tof4p�bli}orrn�lAMI. ' 0 Coliform Group I MPN /100 ml. These results. indicate sample of satisfactory sanitary quality when the HENRY SIEGEI, M.D., Director sample was collected. ROSEMARIE 01 LAllO, M.S., thief of laboratories . l agency Coll -d 'f ,ja, vp ACHECKB( lv 1 miarams, erMtei 3, a", 7 FIT -7 79 ,' RATORIES- AND .'RESEARCH . ,v- - J x, Bottle No' Z d COV NTT .t PA TESTS ,.REQOtSTEO):-',�.,,,;z�,,,-;,�,"-� 99ii Frig W, PNS i0k N El "" ' d C "t 41 A; ved Solid s� J� ron,".t'. 7 M, ❑ r Mangane sq; ............. P EXAMINATION HYSICA Color ❑ Turbidity Units Units ❑ r "M ki— MY C ❑ W7 H f�� ��i i �� �_ I � �� �-�-� ? �a 4:: l � � l%'� I', 0� ii III it ii; �. Z?3 -3 1i S.% /�� \__ ILA � -rR /� / �/ P � �G.�� / ' _+ �� /�" / �', ��.` /J_ G��Z /,,Wi:�'►'�9� /�/.F. G��� -t -. -7"tJ ii i► Iii �'��:,�� • ��.� �,e,. �''�A.d' •,�,�,... � �+ � "� � d:.�, . 1111 I� I� i I ill iIl ;I f' I, �I I, .'a °a' .- _ _ .� -,✓ n. �^- ��r..�a:a.:�c.;�ss�..-- y+.,+... -'Ya ,,:i.`_.�'°''°e�n=:- e.i�: ".. �: -. . {:':-_. .. "_�:c=i^is_: ' �. c: �. r: �- 4r..�aa..b..:r.�+..';'"i =°.' =^ 'a�'y,,' _ Iii - rA- cjs�k / ------ - ---------- ----- - e. - -- .l_�.a .ems., —�. �_..�,- �...O G �- c.�.?� -cam-, _ --- - - ---- ---- ,-.. 141- nFA- in, 2 6-A - - - -------- �P-r ... ....... ...... oK � �,�at �. " i 17-1 1 - ��3' � e— b �:a/M �J� A�i � m . ....... .. 1� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY `OFFICE"`BUILDING, CARMEL, N. Y. 10512 : f DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. 406 <�rA Owner 0qi Addre s s 0 Located at (Street Sec. Block V::k _Lot 1 Hdipate nparpst cross ArZeet) Ub Municipality. P Watershed gLe VK kL SOIL PERCOLATION TEST DATA IqUIRED TO BE SUBMITTED WITH APPLICATIONS Hoe Number CLOCK TIME PERCOLATION PERCOLATION apse Dep o a er Water Level No. Time From Ground'Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min./in-drop T?.' Inches Inches Inches yo 1 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates.are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. 51v'.� �,_J_L' o i - - - - a a3 1 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates.are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. DEPTH 6" 12" 18" 2411. 30 r. 36" 4211 48" 54 60" 66" 7211 78" 8411 TEST PIT DATA.REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. V HOLE N0. HOLE NO. INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY ` V. Date (o ��n � • Zq s DESIGN f - Soil Rate Used io Min/1 "Drop: S.D. Usable.Area Provided r�Q No. of Bedrooms ?, Septic Tank Capacity q Gals. Absorption Area Provided ByL.F. x24" jb"— t h A 9 O Address ure SEAL V THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by 38998 OP NN cw Date 10 !` } �I r oS.oSt�Cle�$''Q4 JS tc'TIOM w�9P^ Jalid.? 1 PO4 R Am\ VA >:»er or 1Lrchase)., ol:' build:i.nb Municipali Cy I�V 3uildi;�b Coil. ' by Section , y0j� vocation - Street O .. C e . "IZ.Ae+ tuil.dincy Type Block Lot GUARANTY OF SEPARATE SM(IAGE SYSTEM o , I represent that I am wholly and completely responsible for the location, iorkmanship, material, construction and.drainage of the set %,age disposal syst=em Mervin g the above described property, and that it has been 'constructed as shorn on `he approved plan or approved amendment thereto, and in accordance with the standards -ales and regulations of the Putnam County Department of Health, and i�ereby guaranty .o the owner, his successors, heirs or assigns, to place in good operating condition my part. of said system constructed by me iehich fails to operate for a period of two rears immediately following the date of initial use of the sewage disposal system, or my. repairs made by me to such system, except where the failure to operate properly l;; c'aubeci .,u N,, rile willful G10 1le i 1 t;; do i of -Che oi: ;-U! jai, L of ► i,i :,iai� ....iib ..%: �, �� -.:b o. The undersigned further agrees to-accept as conclusive the determination )Uthe Director of the Division of Environmental Health Services of the Putnam County #rr,"`;4t., of = - F cal l i� -as . t c;r?: th�r .nr_ nrfi" :-6h ,.a %1�re. :.of the s��stem to operate !aused by the- willful or negligent act of the occupant of the building utilizin— the stem.. y � � � . � �- �J r ✓e >rz • �2 :.rte )afied tlZis 12, day of � � 19 Signature 14L Ct r'V 'C Title (if corporation, give name and addres - - - - -- - - -- -- PHREE. (3) COPIES ARE REQUIRED WITH THREE )F COMPLETION WILL BE ISSUED. (3) COPIES OF FINAL PLANS' BEFORE CERTIFICATE I 3WARANITOR TS RF.OUIRFM TO. FILE NOTICE OF DATE OF •FIRST USE OF SYSTEM. a---- --------------- --------- - - - - -- -- -..--------- - - - - -_ --- _-- _----- _ - - -_-- -- - - -- -- Uvision of Environmental Health Services, Putnam. County Department of Health .o 0 WELL COMPLETION REPORY PUTNAM ,COUNTY DEIPARTMENT OF HEtALTH ti 3/71 Division 'of Environmenttil Health: Services , r< • ,'. BUILDING'- C R if " OUNTY.OFFICE BUILDI - ARMEL, NEW -YO This °i'-P rt'�i�s�^ bet*Mple"d bqW ofl_" et?* nnc�subtnitted= to° GotittY- Heait*- Depa�tinrient�togetliei °�iertii�iabor�rtlof�+''femrt, analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued.' REPORT MUST. BE SUBMITTED. WITHIN 30 DAYS OF WELL COMPLETION OWNER{/ NAME /� i� .. ADDRESS LOCATION OF (No.�6j Street) 'Vr( ' . (Town)l' / (lot NumDoq WELL /r! 1 BUSINESS ❑ ❑ ❑ PROPOSED 1=u DOMESTIC - ESTABLISHMENT FARM TEST WELL , USE OF WELL ❑SUPPLY ❑INDUSTRIAL ' s ❑ CONDITIONING'.' (S(Specify) DRILUNG �- ❑ ROTARY- COMPRESSED AIR PERCUSSION CABLE o ❑ PERCUSSION ❑ EQUIPMENT ((Specify) .CASING LENGTH (I et) DIAMETER(Inches) WEIGHT PER FOOT (�' [2 ❑ R ES HOE El CASING DETAILS .. G'� �, � . ,: THREADED WELDED YES, YES • ;. NO YIELD HOURS . G P.M ❑PUMPED YIELD (O P M ) TEST, BAILED lLT COMPRESSED AIR '•. WATER, MEASURE FROM LAND SURFACE— STATIC(Specify feet) / DURIN YIELD TEST feet) 1 ` Depth of Completed Well in feet below land LEVEL' surface: MAKE-. .' LENGTH OPEN. TO AQUIFER (lost) SCREEN ' . ' DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL' Diameter of well Including RAVEL SIZE (Inches), FROM (feet) TO (feet) PACKED; gravel pack (inches):' . DEPTH FROM LAND SURFACE FORMATION DESCRIPTION ' Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET . ell p��� TT pp77 pp 77���gg��pv h�� ��TT TUTI V tB1�'H 'li ®aJ1Y�� a t } Division of Environmental Health Services, Carme% N Y ';10512 °CONSTRUCT60N. PERM.I f R SEWAGE D9SPOS�4L 3SVSfEnfl M r:;{ k x li ', t Town or. Village% a �� r f Located at 1 Section -9-4i6 , jk }LOI v x Owner 0 It ��ns- Address �� C c1 ta12t.J * `lAU2 r f 1 r , Bwitlmg 57. � C .•Lot Area ., TotaL:Habitable.5 ace " Square •feet Number of Bedrooms " P { Separate Sewerage System ,toy consist ,of `Septic Tank �� lineal feet X S� width f[ench ?t1� =To abe constructed by ' �JP "*E� \� ir�� Address y u ti Water Supply Public Supply From fi r tis _ Private` Supply' to be drilled rbyiTi 4� ' a M,r r 1 i 'Other Requirements $ 'K .k 'a " v.� ,� s "+x +�:.. � •h ti� � �, e i I , Uys nsiblefor�thedesign andLlocaUon'of` the proposed rsystem(s) 1) hat the ,;eparate,_sewage_�disposal, system approved amendment there to and in accordance wdh the standards rules an regu a ions o t e u nam : pleti on thereof a Yi:6rt ficate of Construction Compliance satisfactory to the,Comirissionerot,Healthwill - . W guaranteezwill !be furnished ttie' owner his wccessors, heirs or assigns by the builder, that said builder wilt said, sewage disposal system during the period of two`(2) yeaisyi "mmediately'followng the;date of ttie ssu- �truction �Comphance of,�the or�g�nal system or any repa�rs';thereto, )that the drilled well described above that said welitiwill be installed�"in a ordance wdh the�stan and les and�'regula i— off � »the nPutnam _.; - 7, 7 77"—. s F $ { PEEKSKILL MEDICAL. LABORATORY. 1879 Crompond Rd. Barclay Plaza ':Bldg'. `A, Apt. 1 '4Axi!s•+.I. "• —,.O H' t+'K- ?. r ��.� v ._: n'Rt••� wsCS Y•F P•wRY+Nn�+ .fd+�v^.t�'.�i�q.H,��d 1M.aA'..n -�c.r. �;.?. „`c•F+.'ti'+,ri�IF' pee`ks�Ctll°° 1�ew York 105`6 °S PE # 40856 -1 DATE -COLLECTED RESULTS OF EXAMINATION OF WATER 10/15/74. OWNER DATE RECEIVED.' Val Pete.Construction Corp.,10 Grandview.Ave. , Ardsle 10/16/74 CITY, VILLAGE, TOWN VOR NAME OF SUPPLY DATE REPORTED.. .Lot .17'. Block 8, TM # 62 10/18/74 .. SAMPLING POINT 'BACTERIA PER,ML: (Agar.plate count at 350C). 9 COLIFORM GROUP (Most probable N6. /100ml.) less than 2.2 TOTAL -ppm DETERGENTS - ppm NITRATES (as N) = ppm IRON; TOTAL - ppm FLOURIDE (F) sit These results indicate that the water was Yes of a satisfactory sanitary quality when the sample was collected. A. H. PADOVANI, M. T. (ASCP) „j PUTNAM COUNTY DEPARTMENT OF HEALTH r� ,f DIVISION REFERRED TO RECD, BY' REQUESTED FROM O 2 by letter, telephone, in persons ADDRESS 1 i i ; I j 1 May 19, 1976 .Mr. Spinelli . cenneth Drive, 146w York, '10579 putham Valley, beak Or. Spinelli: Enclosed are copies 6f ififarmation pn ultraviolet disinfection. The cost sheets are slightly. but -.of but.ieflett the cost of this type of disinfection. -Chlorination 'with 'a small electrical pump would be loss expensive, but I think-..also les's ftiik6i66 '-.Tha OampI6 of matter you gave us. taken . jr-ota the faucet' strainer. was observed up &i -a microscope. tt.ls of "O'r-gainic. nature in that 6611s could be seen. Also observed uiopt inagn3fication were branch like material. This w. would suggest l tht-the Mt4rial could bave originated fiom a peat like. layer I'' U,,4 It could be that water from in the soil` ,1,_,s't,',ra shallower soil layers is finding its wav,,'Arito the-welli, i discussed this with a local well 4riiier, di qui and %lwil 1 6 ss tiffs ideas with r In the: meantime, the test keiiiultt are such. that the waiter as now being Pumped should be disinfected. The fact that,the.bacteria counts are of moderate level and'thd Chemical analyses do not indicate sewage pollutiono Wouli indicate that disinf e c ti on with filtration would produce a safe and otherwise good qu*ality wat6re Very truly yourso, Robert J. Caddell, PA. Director Environmental Health Services RJC:dlh Encl. • PUTNAM';COUNTY• DEPARTMENT. OF HEALTH' Pi 'MANHOL£� epV I � ! -1 •r Q A S T t�TDI � ,A t I 1 ti urd,q?"tonf r a: F ,. .'� u- ,, . � -c :- _:- .. ._. _ �. • -. ..... � I C.V. \Y.r -- N t� ,i ,. .-�.. `•G/ �- i .4- �'z`':r� r; CJ'GM i ff.�{1ft. ,,�4 ,; �,i r �..� __ �� � `.•, rT }Y. c JuKcYlmrt.:t301tt+,S '`ExQAfiStClf r. Y - +. c':� ;• 0:s,jtSt+Y.,.- T fPIGtIL- a'0 Nr • t ; 7i t «! t x 4 , �r 1 Q 3`14. i A 1:giN cs: t� l g -.`` ` - .'S \.',> , •d ��• - °; °art.' . �'PgA,f p 't ' .k ,'�i1,4- ''Q. 6 M. Rn. A t e— , �rvY# ,: ns I a T r r ern `2 �. bAI.KFILL. „'J�iI Pt `.f'19�.. y- t rC. '• -.: ..., t( `• " >... r . , .. ` .. 4. 3R HAY. .1.2:1 n •� r \. 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F �•. - _ _ - - - 01 �Pr�:A`L: t�,TEM GPA.OE: Z. 6L, FEAENCJEO bht {ty:SHE T FIRST. `JUN2y 1974,. �., �'_ �,� I:��:�vtCn. . taut f'fi aT.ys >?w ;_�- 'N =1Y:. T' � . ETE ,.t_ i >' ..TIIEHE.. ::. =- -_..: _'� .1'. .•�p.I• ; �'iLrk - ,�,'.�"' ap L'SS! ►i,PWAt!ff, 1;'.'iit�;�Y ASSPctAT8S,. :;a1ii >Ac4 iv Vl ttlft>t:.y� c TAX M4P Ni" G2. 6LK.UQ." .� �S1YT ti J • � rir g Y p f L�f #Jo. t TOWN OF L -c� r. s to 3 9 X __/� -._a. _.F'at9 ht•'4.���� - >�TE l� IS t S} • ,A. t [. al !i -1 •r Q A S T t�TDI � ,A t t :4 A 1:giN cs: t� l g -.`` ` - .'S \.',> , •d ��• - °; °art.' . �'PgA,f p 't ' .k ,'�i1,4- ''Q. 6 M. Rn. A t e— , �rvY# ,: ns I a T r r ern `2 �. bAI.KFILL. „'J�iI Pt `.f'19�.. y- t rC. '• -.: ..., t( `• " >... r . , .. ` .. 4. 3R HAY. .1.2:1 n •� r \. I - _ a"i F+IP'. .4 t •err k LE C '3itdE� T x �. ABsil7Et?'T!(�fiJ F2ENCFt. ; .. ..' ,o �.;�':� �;. _..f"�a• 'b'``^<� - ' u Ac p "rig= ��. '" . SE - �.E.'J'&.:.:ort9' "-r - - � T =, rL[ E'+1 Av.. r :'$' .. ., :.. .... - '!.'.,_ °r. +'Tiv.. -; .. .••� : -. 'j. t,.f5- - .A.SGA� C'A1',�IS�( :4:E14, -E: .17 .. ^'�o ,.j- ti3Tt-M- =.TC! BE+ GfJAISTf2'E.7t: tfr D. ►M'frCCC]?'tI3Afi{C� WIT?•fr -TH t-JR i..E_�.�11.,dD:' ±ls A.II :t D(iar,al ';'1 j:'M t pI::LM uM t�'t CUti�i?.I °,fNS :L F THE tJ f ' "i4 lye � `zilp'i:X1 (7EPA'HFMr.NT ti - - - o % b1F HEALl1' a . T9 Ls..:4us>Tf}tri .:la :P, RToS&� a} / 5Y. 11 :Alf. N,t 7 G $'XCKFI! 4 `U UN't FNSpcCT AR ED 9Y DKSIGN. . L L fI' CiGi i NIt "" T!4 mr—A'Rtmi-q �!►P,PROV :STilkk' Tb C J dal T Cis' A 0tt7 cAL1 vIV 5 ,FtrlY_•T PIK . FT 'CAF' _.�, TRz NLfi . cr'!l'H A" rJAXl:�I�iM. pl:TCt[ r F I I i� t Zeiq 4P`)UT yr f � { %,.'r . F �•. - _ _ - - - 01 �Pr�:A`L: t�,TEM GPA.OE: Z. 6L, FEAENCJEO bht {ty:SHE T FIRST. `JUN2y 1974,. �., �'_ �,� I:��:�vtCn. . taut f'fi aT.ys >?w ;_�- 'N =1Y:. T' � . ETE ,.t_ i >' ..TIIEHE.. ::. =- -_..: _'� .1'. .•�p.I• ; �'iLrk - ,�,'.�"' ap L'SS! ►i,PWAt!ff, 1;'.'iit�;�Y ASSPctAT8S,. :;a1ii >Ac4 iv Vl ttlft>t:.y� c TAX M4P Ni" G2. 6LK.UQ." .� �S1YT ti J • � rir g Y p f L�f #Jo. t TOWN OF L -c� r. s to 3 9 X __/� -._a. _.F'at9 ht•'4.���� - >�TE l� IS t S} • ,A. t [. al !i